Individual provider · Type 1 NPI

Kimberly J. Martin, PA-C

Medical Physician Assistant · Wilmington, NC

NPI number 1861563728 Active

Practice location

6419 Carolina Beach Road, Suite A
Wilmington, NC 28412-2759

Call (910) 790-3660 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X102654 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1861563728

Kimberly J. Martin, PA-C's National Provider Identifier is 1861563728, issued on Nov 13, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wilmington, NC. The record was last updated on Jun 4, 2025.